IPAC Ra 07- 57- [794X- Fkl-,)- "'4P2 'r
HTE#d~-~S"- x/03 Harnett County Department of Public Health 2 5 4 4 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONS 1Sbb f s yws /
ISSUED T SUBDIVISION C,/" aC-~ LOT #
NEW I REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: U 7)
Proposed Wastewater System Type: Ad%
Projected Daily Flow: 341, 0 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No ❑ M (be required ed on final location and elevations of facilities
Type of Water Supply: ❑ Community l Public Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Age 7""~'Date: ? d j SEE ATTACHED SITE SKETCH
The issuance of this permi t Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, 1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: Lei? A-f2 2-,~ PROPERTY LOCATION: .5~,_~9f3 a~[is /-Q
SUBDIVISION LOT #
Facility Type: Ld New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes L_T No
Type of Wastewater System' Zoo 0~ ~ sc~ _ (Initial) Wastewater Flow: "366 GPD
(See note below, if applicable D)
4.SaD~- i- ' Z /Ppair)
Installation Requirements/Conditions Number of trenc s 2-
Septic Tank Size DOD gallons
Pump Tank Size gallons
Exact length of each trench / z D feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 9,0 71 o inches
(Trench bottoms shall be level to +/-1/4"
Trench Spacing: 9 Feet on Center
Soil (over: 1~ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM 4!~,_ inches below pipe
Aggregate Depth: Z-- inches above pipe
Conditions: rwi0-'t, Z. inches total
T-rt~Jf7,z/l/
**If applicable: / understand the system type specified is different from the type specified on the application. l accept the specifications of thin permit
Owner/Legal Representative Signature: Date:
mu wruuuwun numonzanon is sunlect to revocation n the site plan, plat, or the intended use changes. the Lonstrucnon Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Age-~ Date: D 7
Construction Authorization Expiration Date:
q 07- 5-- f 7 9 4 I Frf' d-
HTE# 09 - 5-- Z3/c)3 Permit # Z S- 7
Harnett County Department of Public Health
Site Sketch
~ PROPERTY LOCATON:~ ~
ISSUED TO: - 7"'1r SUBDIVISION G/r_..~ C~~~•~ LOT #
Authorized State Agen Date: 7 f~ `7
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Harnett
0 0 0 N T Y Department of Environmental Health
~4 Q R' t1 A 01_ ,'v
www.harnett.org
July 30, 2007
Harnett County Government Complex
307 Cornelius Harnett Boulevard
Fred A. Chris Lecuyer
115 Keyman Dr. ul{ington, NC 27546
Coats, NC 27521
ph: 910-893-7547
fax: 910-893-9371
RE: Harnett County Land Use Application HTE#07-5-17841
Dear Lecuyer,
An attempt was made to evaluate your property for the purpose of issuing an Improvement Permit. The
evaluation could not be completed for one or more of the following reasons.
_X_ 1. Property lines/corners not marked or labeled
2. House corners not marked or labeled
3. Directions not clear to property
4. Property needs brush or vegetation removed
5. Backhoe pits required
6. Other
Your application will be put on hold until the selected items above have been addressed.
When completed please call 910-893-7547 to confirm that the items mentioned have been
corrected, we will then reschedule your property for evaluation.
Sincerely,
James E. Manhart, III, R.S.
Environmental Health Specialist
Harnett County Department of Public Health
Environmental Health
JEM/sgw
Copy: Central Permitting
strong roots - new growth
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Dlvisbn of Environmental Health
On-site Wastewater Section
SOILSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner.
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
OI Itltll.
Property ID:
Lot
Fib of
Code:
Applicant: ! _78y1
Date Evaluated: 7-06,-07
~ tt Design Flow (.19491+ y$ Z) Property Size: (6 -2,5-6-7
Property Recorded:
t -11plubk [ j Individual (j Weii t j Spring Other
I Augw Boring t 1 Flt Cut
aewage t) Industrial Process Mixed
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IF, 94111:
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Description Initial 3 ste Repair S em Other Factors (.1948):
available Space (.1943) Site Classification (.1948):
stem Type(s) 25 7e 2s Evaluated By c1